Opportunity Information: Apply for RFI 669 LHESS LIBERIA 2023
The LOCAL HEALTH SYSTEMS SOLUTIONS (LHESS) Activity is a USAID Liberia opportunity focused on strengthening Liberia's health system so the country can deliver better, more equitable care and reduce maternal and child illness and death. The core idea is that improving health outcomes is not only about individual programs or facilities, but about reinforcing the underlying systems that make care reliable: how services are organized and managed, how information is collected and used, how labs function, and how health services are financed so patients can actually afford to use them. The activity is framed as part of Liberia's broader commitments, including the Sustainable Development Goals, especially SDG target 3.8 on Universal Health Coverage, which emphasizes financial risk protection, access to quality services (including diagnostics), and access to safe, effective, quality, and affordable essential medicines and vaccines.
USAID plans to support Liberia's Ministry of Health (MoH) by providing a targeted package of technical assistance designed to align with national priorities and existing government processes. A key feature is the emphasis on working through and with local stakeholders, rather than relying on externally driven solutions, to develop more efficient approaches that improve quality and equity in healthcare delivery. While the support is expected to align at the national level, it is explicitly intended to inform and strengthen implementation at subnational levels, meaning counties, districts, and individual health facilities. In practical terms, this signals a focus on helping national policy, planning, standards, and tools translate into routine practice and measurable improvements where patients actually receive care.
Two technical areas are highlighted as major components of this health systems strengthening effort: laboratory systems and health information systems. Strengthening laboratory systems generally supports better diagnosis and treatment, improves disease surveillance, and increases confidence in clinical decision-making. Strengthening health information systems points to improving the quality, availability, and use of data so that the MoH and local health managers can plan services, allocate resources, monitor performance, and respond quickly to public health needs. Together, these components support the broader goal of improving access to quality care, increasing efficiency, and improving patient outcomes across the health system.
The LHESS activity also includes support for health financing reforms, with specific mention of the Liberia Health Equity Fund (LHEF). This part of the opportunity reflects the Universal Health Coverage priority of reducing the financial burden on patients, so people can seek and receive care without facing undue hardship. By supporting financing mechanisms like the LHEF, the activity aims to expand access to essential services, particularly for vulnerable populations, while strengthening how funds are organized and used to support quality services.
From an opportunity standpoint, this is a USAID Liberia funding opportunity (CFDA 98.001) with an unrestricted eligibility posture, meaning it is open to a broad range of applicant entity types unless additional eligibility details are provided elsewhere in the full notice. The opportunity anticipates a single award, with an award ceiling of $24,000,000. The listing identifies the opportunity category and instrument type as "Other," and it was issued by the Agency for International Development, USAID Monrovia. The posting was created on February 16, 2023, with an original closing date of March 8, 2023, and it is labeled as RFI 669 LHESS LIBERIA 2023, indicating it may have been structured as a request for information or a related preliminary step tied to eventual implementation planning.
Overall, LHESS is positioned as a flagship health systems strengthening effort meant to help Liberia improve the quality, affordability, and equity of healthcare delivery, with particular emphasis on practical system improvements (labs and data systems) and financing reforms that reduce out-of-pocket barriers to care, all implemented in close alignment with MoH priorities and with attention to how national reforms play out at county, district, and facility levels.Apply for RFI 669 LHESS LIBERIA 2023
- The Agency for International Development, Liberia USAID-Monrovia in the health sector is offering a public funding opportunity titled "LOCAL HEALTH SYSTEMS SOLUTIONS (LHESS) ACTIVITY" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001.
- This funding opportunity was created on Feb 16, 2023.
- Applicants must submit their applications by Mar 08, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $24,000,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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LOCAL HEALTH SYSTEMS SOLUTIONS (LHESS) Activity - FAQs
What is the LOCAL HEALTH SYSTEMS SOLUTIONS (LHESS) Activity?
LHESS is a USAID Liberia opportunity focused on strengthening Liberia's health system so the country can deliver better and more equitable care and reduce maternal and child illness and death. The activity emphasizes improving the systems that make care reliable, not just supporting individual programs or facilities.
What health challenges is LHESS trying to address?
The opportunity is framed around improving health outcomes and reducing maternal and child illness and death by making the overall health system function better. It focuses on the underlying systems that support quality care, such as service organization, information use, laboratory capacity, and health financing.
How does LHESS define "health systems strengthening" in practical terms?
Based on the information provided, the activity treats health outcomes as dependent on how well core systems work, including how services are organized and managed, how information is collected and used, how laboratories function, and how health services are financed so patients can afford to use them.
How does LHESS align with global and national commitments?
LHESS is described as part of Liberia's broader commitments, including the Sustainable Development Goals, especially SDG target 3.8 on Universal Health Coverage. The SDG 3.8 framing emphasizes financial risk protection, access to quality services (including diagnostics), and access to safe, effective, quality, and affordable essential medicines and vaccines.
Who is the primary government partner for LHESS?
The primary partner identified is Liberia's Ministry of Health (MoH). USAID plans to support the MoH with a targeted package of technical assistance aligned with national priorities and existing government processes.
What type of support does USAID plan to provide under LHESS?
The opportunity describes a targeted package of technical assistance designed to align with national priorities and existing government processes, with an emphasis on working through and with local stakeholders.
Is LHESS focused only at the national level, or also at subnational levels?
While the support is expected to align at the national level, it is explicitly intended to inform and strengthen implementation at subnational levels, including counties, districts, and individual health facilities.
What does it mean that LHESS will work "through and with local stakeholders"?
The opportunity emphasizes developing more efficient approaches that improve quality and equity in healthcare delivery by relying on local stakeholders rather than externally driven solutions.
What are the major technical components highlighted in LHESS?
Two technical areas are highlighted as major components: laboratory systems and health information systems. In addition, the activity includes support for health financing reforms, including specific mention of the Liberia Health Equity Fund (LHEF).
Why are laboratory systems a focus area for LHESS?
Strengthening laboratory systems is described as supporting better diagnosis and treatment, improving disease surveillance, and increasing confidence in clinical decision-making.
Why are health information systems a focus area for LHESS?
Strengthening health information systems is described as improving the quality, availability, and use of data so the MoH and local health managers can plan services, allocate resources, monitor performance, and respond quickly to public health needs.
How do laboratory systems and health information systems contribute to the overall goals?
Together, the laboratory and health information system components support the broader goal of improving access to quality care, increasing efficiency, and improving patient outcomes across the health system.
What role does health financing play in LHESS?
The activity includes support for health financing reforms to reduce the financial burden on patients so people can seek and receive care without undue hardship. This reflects the Universal Health Coverage priority of financial risk protection.
What is the Liberia Health Equity Fund (LHEF) and how is it connected to LHESS?
The LHEF is specifically mentioned as part of the health financing reforms under LHESS. The intent described is to support financing mechanisms like the LHEF to expand access to essential services, particularly for vulnerable populations, while strengthening how funds are organized and used to support quality services.
What agency is offering this opportunity?
The opportunity is issued by the Agency for International Development (USAID), specifically USAID Monrovia (USAID Liberia).
What is the CFDA number for this opportunity?
The listing identifies the opportunity as CFDA 98.001.
What is the eligibility for applicants?
The opportunity is described as having an unrestricted eligibility posture, meaning it is open to a broad range of applicant entity types unless additional eligibility details are provided elsewhere in the full notice.
How many awards does USAID anticipate making under this opportunity?
The opportunity anticipates a single award.
What is the maximum funding amount available?
The award ceiling listed for this opportunity is $24,000,000.
What is the opportunity category and instrument type?
The listing identifies both the opportunity category and instrument type as "Other."
When was this opportunity posted and when was it originally due?
The posting was created on February 16, 2023, and the original closing date is listed as March 8, 2023.
What does "RFI 669 LHESS LIBERIA 2023" indicate?
The opportunity is labeled as RFI 669 LHESS LIBERIA 2023, and the description indicates it may have been structured as a request for information (RFI) or a related preliminary step tied to eventual implementation planning.
What is the overall purpose of LHESS?
LHESS is positioned as a flagship health systems strengthening effort meant to help Liberia improve the quality, affordability, and equity of healthcare delivery, with emphasis on practical system improvements (labs and data systems) and financing reforms that reduce out-of-pocket barriers to care, aligned closely with MoH priorities and implemented with attention to how national reforms translate into county, district, and facility-level improvements.
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